<fieldset>
  <legend>Dados da Requisi&ccedil;&atilde;o</legend>
  <br>
  <p>
    <span>Descri&ccedil;&atilde;o:&nbsp;</span>
    <span><%= req.text_field('descricao', :size => 40, :maxlength => 4000) %></span>
  </p>
  <p>
    <span>UF:&nbsp;</span>
    <span><%= req.check_box('uf_ac', {}, 'S', 'N') %>AC</span>
    <span><%= req.check_box('uf_ap', {}, 'S', 'N') %>AP</span>
    <span><%= req.check_box('uf_df', {}, 'S', 'N') %>DF</span>
    <span><%= req.check_box('uf_rr', {}, 'S', 'N') %>RR</span>
  </p>
  <p>
    <span>N&ordm; do Relativa:&nbsp;</span>
    <span><%= req.text_field('num_relativa', :maxlength => 10) %></span>
  </p>
  <p>
    <span>C&oacute;digo SNA:&nbsp;</span>
    <span><%= req.text_field('cod_sna', :maxlength => 10) %></span>
  </p>
  <p>
    <span>Tipo de Altera&ccedil;&atilde;o:&nbsp;</span>
    <span><%= req.check_box('alt_corretiva', {}, 'S', 'N') %>Corretiva</span>
    <span><%= req.check_box('alt_evolutiva', {}, 'S', 'N') %>Evolutiva</span>
    <span><%= req.check_box('alt_nova_func', {}, 'S', 'N') %>Nova Funcionalidade</span>
  </p>
</fieldset>
<br>
<fieldset>
  <legend>Dados de banco</legend>
  <p>
    <span>N&uacute;mero do Plano de Execu&ccedil;&atilde;o:&nbsp;</span>
    <span><%= req.text_field('num_plano_exec', options = { :size => 10, :maxlength => 10} ) %></span>
  </p>
  <p>
    <span>Observa&ccedil;&atilde;o (Banco de Dados):&nbsp;</span>
    <span><%= req.text_area('obs_banco_dados', options = { :cols => '20', :rows => '3', :maxlength => 4000 } ) %></span>
  </p>
</fieldset>
<br>
<fieldset>
  <legend>Dados de Suporte</legend>
  <br>
  <p>
    <span>Pasta:&nbsp;</span>
    <span><%= req.text_field('pasta', options = { :size => 10, :maxlength => 200 }) %></span>
  </p>
  <p>
    <span>Observa&ccedil;&atilde;o (Suporte):&nbsp;</span>
    <span><%= req.text_area('obs_suporte', options = { :cols => '20', :rows => '3', :maxlength => 200 }) %></span>
  </p>
</fieldset>